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HomeMy WebLinkAbout02-1136PETITION FOR PROBATE and GRANT OF LETTERS Estate of .~ e h v~ C, ~t"t c~ K also known as Deceased. Social Security No. 1 Cf SS-03 -- q~ ~ ~_ No. 2i-oz- -~ac~ To: Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut ~. Uc1N ~'e ~S ~ named in the last will of the above decedent, dated , 19 and codicil(s) dated ?`3~- ~ - i R' (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in b -~,~ 1 Gc County, Pennsylva ia, wit h + .S last family or principal residence at (.t.)CZ ~ i Cr, w G , at ~-I~ ~~,- Except as follows, decedent did not marry, w'as not divorced ancf did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 5 ~O, `t'Z~C G WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters tes{~~~'n~c-w (testamentary; administra ion c.t.a.; administration d.b.n.c.t.a.) theron. V C ~r^ 1 Y ~ N ' ~ C-t V' C ~i C G~ :., ~~ Na vw ~~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and my administer the estate according to law. v Sworn to or affirmed and subscribed ~ ~ t~- - ~'°~/ r .1k-~~! z„ before me this _ 13th day of _ oc' DECEMBER 2 0 0 2 ~~[x egister 0 ~n (list street, number and muncipality) No. 2~ - oa- iia~ Estate of JOHN C TASEK ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW DECEMBER 13 , 2002 x~ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated 8 - 2 4 -19 8 8 described therein be admitted to probate and filed of record as the last will of JOHN C TASEK and Letters TESTAMENTARY ' are hereby granted to E. JAN I E T A S E K FEES Probate, Letters, Etc.......... $ 115.0 0 Short Certificates( ) .......... $ 12.0 0 ~~~~ extra, pages $ 6 .00- ~cp $ 10.00 TOTAL $ 143.00 FIIed _ 12-13,-2002,,, _.. mail to exec 12-13-2002 Register of Wi ATTORNEY (Sup. Cc. I.D. No.) ADDRESS PHONE t ~. u;.ul~; ~,..., _.. e ,.. "I~his is to cerri~~ that the inEc~rrmation here ~lvel: is rorLti.L~~ ~ tr .-.. ~Fi'rP, .. .. - . Local R-c~lsuar. The ongdr.al ce~ttticate will be f~,r;varc'c!i t+.l r3~.• ~.~ ~ 4 ~~ '~ ,- ) ,. WARNING; It is illegal #o d~tpliC~E~ YrTI~ ,ar~~sy =~~ I°I .~. -:~ ~s ~ - hL'e hJr this cc(ri~i~ate, ~Z.O{) _____P_8777457_ ~1). 11I~~ .a3 Rev ?J37 YPE.~PRINT IN PERMANENT aIACK INK ~~_, . T ~'~~' _ ~ 4 I ~ ~~a e ; < 1r=w~S y c.a ~ I X~ ~': ,OR; ~ .:f rr~~ - - ~-_ . COMMONW EALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ATH ,MCnm Day Zan D E SEX SGCIAL SECURITY NUMBER DATE F ~ L / NAME OF DECEDENT IFuv Mitlde. Leal John C. Tasek ,. Male ,- 198 - 03 - 9933 .. (~I/P}yt , . AGE:l asl e~nn°ayl UNDER 1 YEAR UNDER 1 DAV DATE OF BIRTH BIrrTHPIACE (Cay and PLACE OF DEATH IChecx only me-- see ~n9lrur.LOr~s nn ahei sx)el .. _. __ MonIM Osys lbws Minul.s ~MOnm. DaYreerl Slalea FCregn CaunllYl HOSPITAL,,.~~,,rr 1 NUNS R~ OIMr l m ^ DDA G i a ^ S ^ 1~' Ewo mp ^ . pe[ lADal R.adar,ca , yl He Jul 15, 1916 Harrisburg, Pa. Nwl.^' 86 Yre • s r ., T. COUNTY OF DEATH CT', BORO. TWP OF DEATH FACILITY NAME UI nd ~nv~WUUn. gwe Weer antl riumow~ WAS DECEDEM OF HISPANIC ORIGIN? RACE American Indan, Blacx, WnKa. etc. ISp~MI ^ ~iY~. aDK^yGuan. d East Pennsboro ~ Msr~n.Pl»npR '«° White ~-~Oi-- SF~ r2i T E 10~ (~ rr~L Na ~k Y.. 10 l b . er an Cum • i4 M W 9. DECEDENT'S USUAL OCCUPA710N HIND OF BUSINESS/INDUSTRV WAS DEC DENT EVERIN DECEDENT'S EDUCATION MARITAL STATUS~Marr,atl SURVIVING SPOUSE U. S. ARMED FORCES? onl ni oast ratle com etl Navel MUriaG. Witlowad Jl mle. yew mearan name) (Goa x~na d vwx tlorre tlurag mass Elsmemaryy$acontlary Colregs DivorcaE (SpenNl °'""""""""°°"°'°"ieWa°) Trans ortation Y••~"°^ (0-12) oads.' Married Janie Favinger p 1,, 1,. 1a. 13. Truck Jockey ,,,- 11 a DECEDENT'S MAILING ADDRESS ($11M,CeYRwvn.Srere.Zq Cptlel DECEDENT'S Pennsylvania Oq 170.1-RV.s.ExaASrt liw0ln Lower Allen _..__ r.p Sl re T 8 Wayne Circle a .__ a. ACTUAL l RESIDENCE °eOSOi'" l~,s IM m S r Pennsylvania 17011 Camp Hill I o ner v nn Cumberland '°w"`"ip7 ,TG.^ ~~i°" ~x~d _ -- _______=.YA,°.• I 0e1 , ,. ,Te c°nnN_._-__ n m S M ' _ FATHER'S NAME (f x9, Mende. Lag) Alexander Tasek a~Oen w a al S NAME (fxsl. Mitltlb. MOTHER ,a Katherine Mitchele IS. INFORMANT'S MAILING ADDRESS IStreal. DiNROwn, SN1e. LD Cotlel INFORMANT'S NAME (TyperPnnq Janie Tasek 8 Wa ne Circle Cam Hill, Pa. 17011 GATE OF DISPOSITION ,D~. PLACE OF DISPOSITION-Nama or Camalsry. Cramalory LOCATION~CiNR ,S1ata.Zp Cona METHOD OF DISPOSITION (MOnm. pay. Year) e cr.mat~^xR.movall,ansrere^ ^ or DIMr Plau ConoliteCremato Schaefferstown, Pa. 17088 ry Donann^ r(s M Nov 23, 2002 2m. z1C, x1a. . z1.. ' SIGNATU OF J1N L EL ENSEE OR PE ACTING AS SUCH LICENSE NUMBER NAME MDADDRESS OF FACILITY M ers Funeral Home Inc. 37 East Main Street Mechanicsbur Pa 1705 FD-014318-L zee L ~ • ~~~ . ~-a - ae. / 2 LICENSE NUMBER DATE SIGNED Dom la ilamf 27AC only wnM Unilylrq b IM Mal of my emw tllam rrW a1 IM nma. Sale aM preca Srelen (Mmm. Ody. Yearl pny vailaEN al nma OI OBatn 10 cemN ca s• of aam. 2,e. 2x. z,.. ~/T e~Y WAS CASE REFERRED TO MEDI~CiAL EXaA.M~INERICORONER7 D IM°nln, D A a y+/7Yearl Items 2a-23 muu mplsleOW TIME OF EATH DATEP ONOUNCED DE1 ~ YOa^ G••\w N•4 aln O ' I ~ ~ ~ ~ '~ . pereonwM prorquncea a { ~ t,~5 tea" Cl . Mh r V M 23 M' O . ,a- . . PART 1: Enter lna dlaaaSaa, injuries or cpmpacelgna wnich DausetllMtlasln Dp rwt emerlM motleof tlyirg,sucnas cardiac orrespnaloryarreal, snpcs ormarl lailun. IApproxirrwu PANT II: Dinar sgniScaM COndeona oodrlWlinq to naaN.WI rn/uq 4usa pNM in PMT 1. n e rt l t M 0 n lx r a S u N ~y 27 . Lial anN oM cause arl escn Nna. I IXlii i dim ",- ' 1 IMMEDIATE CAUSE (Final ~ JI _ •Iq//` / I J // y ~ ~ 7y~/ -[ /[ ~/~ y J ( / . ( DUE TO AS S l C,E/OJf)' % 1 C~~~ ~~ 7 VY/7F F Y 1 seRn.dwly oal wmKlons h. ~---- ' 1 any, leadnq W ,mme0iaia DUE 1p (OR AS A CIXJSEOl1ENf, OF) I I cause Enlr UNDERLYING ~ ---~------ • . CAUSE ID~wasaw~nlurY - mat x,malen events _ c. DUE TO (OR ASACONSEOUENCE OF): 1 ' iasupiny n neeml LAST _____ 0 - _-.____--... ___._-.__-_- -_... __--.__ . DATE OF INJURY TIME OF INJURY INJ URY AT WORK? DESCRIBE HOW INJURY OCCURRED. wA5 AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH (Mw1m Day. Yeah PERFORMED? AVAIUBLE PRNM TD COMPLETION Of CAUSE (] OF DEATHT Na1wal FbmKga ~ Yes ^ N° ^ AcciMnl ^ Pennirg investigation ^ _ t.l ~ ^ ^ N Swctla ^ l;ouln not M nelerm~nnn ~_~ PLACE OF INJURY ~ Al home, hrm, street, rectory. °Ilica LOCATION ISlran CiN/Town. ilalel No J Ws o Ves ouildng, arc. ISper.AVl - 2M. 23a. 39. 20a. . SIGNATURE ANDT OF CERTIFIER Checx ony unel 'CERTIFYING PMYSICIANIPhysK~an~en~ly~ng cause of nealn anenanolner Vnv+~anha:p ~ 1 V ° 'ZJI - TO Na Wet of my KrwwlW9a esatn occurrW OUa to lNa cauae(al artl manner as slaleA ... .. .,- .. .... ~ Ir< • 'PRONOUNCING ANO CERTIFYING PHYSICIAN IPl ysw an twin Vicnp. ~c nV nealn ann' N 9 I rl loth causals)arM manner as alale0 .... 0 tl ~~ L~ ,lE_ _. _....-.. ---- -- '---- LICENSE NUMBER GATE SIGNED m U '~' ` L 7fe. ~ /~__ _ __-_ IL1C -- -- - -- -----'- AU ~OF D ED C yyy~~~TH O COMPLET ~ ua - To1M Leal of my klwwlaAga, tlaaln occurred atlM time, data an0 place an ~ m ~~. PERSON H NAME AN ADDR (Item "Z7)Typea Pnm ~II~jYYYY////yyyy,,,, ~~ /_~/1 ` • 'MEDICAL E%AMINER/CORONER tlesth occurred al lne lime, tlala, and place, antl tlualo lne cauaa(s) ^ On in<hasis of •aaminallon and/or bvesllgahon, in my opinion, manna as alalad_ ............... ..... ... ........... _ ........... ..... ..... _ ..... _ ... .... ..... .. ........ .... and ` fS~• 3~ 2~ a 1 ,2. T~ lta _ -- -'- REGISTRA SSIGNATURE ANO NUMBER DATEfK DIMOnm Dey Yeah U/~1~ o ' n ~ ~~ ~ ,a. 0 VQ ~1 DE~/2 ~C ~ , ~ POd. - ~AiOh DLX.1 7~ / --- v r 1, ~ o,z._- v • ~~st ~i11 ~n~ C~P~t~cmP~ OF JOHN C. TASEK 2,1-02- 11310 I, JOHN C. TASEK, of Lower Allen Township, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my wife, E. JANIE TASEK, provided she survives me by sixty (60) days. SECOND: Should my wife, E. Janie Tasek, predecease me or die on or before the sixty-first (61st) day following my death, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to my son, JOHN C. TASEK, JR and my step-son, EARL M. HENRY, JR. If John C. Tasek, Jr. predeceases me, I direct that his share under this, my Last Will and Testament, pass directly to EARL M. HENRY, JR. If Earl M. Henry, Jr. predeceases me, I direct that his share under this, my Last Will and Testament, pass directly to JOHN C. TASEK, JR. THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give I options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or -°-conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivision, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with 2 respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FIFTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SIXTH: I nominate and appoint my wife, E. JANIE TASEK, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said E. Janie Tasek, I nominate and appoint JOHN C. TASEK, JR. and EARL M. HENRY, JR., or the survivor thereof, Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~~ day of ~~;~G%~ , 1988. r ~ ~1 s' y~~~, c~.~. ( SEAL ) Joh/, C . Tasek Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address - , :, . a" t ~' tR? 3 REGISTER OF OATH (each a subscribin witness to law, de se(s) and sa )that _ the testat ,sign the'~a~ re est of testat in h_ othe ubscribing 'tness(es)). orn to r affirmed d sub me `phis LLS OF ~ SUBS( G VV'~,~'NESS LINTY codicil will presented rewith, (each) eing duly q lified pr and that igned as a _ presence nd (in the presenc of each other) 'n the p ib before y of ( ame) 19 (Addre Register (Name) (Address) REGISTER OF WILLS OF cLUrl~erland COUNTY OATH OF NON-SUBSCRIBING WITNESS 21-0~.- It3to (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that THEY ARE familiar with the signature of T.,urT r TASEK , codicil testat OR of (one of the subscribing witnesses to) the will odicil ted herewith and that THEY believes the signature on the will is in the handwriting of ~--- JOHN C TASEK ~' ~- ~~ `~~~ ' ~~~~'`'~`~ THEIR lcnowled a and belief. ~ ~ ~ `^ ~ ~ ~~ ~ c' ~ to the best of g `7j ~2i Cx ~1'~ i/1 C' ~ : v C 1 ~' Sworn to or affirmed and subscribed before me this - ~ 3 th day of ~~~ ~ ~!Na\ ~e~ ~ ~ (7a I ~ DECEMBER 2002 xg~x (Address) 1 Register rdilyg to ands w at the of the ~ -TVc~u ~ (Name) ti' (Address) ~ Sow C ~ i1 ~ ~:u A ~~ CERTIFICATION OF NOTICE UNDER RULE 5.6(al Name of Decedent: \' ~ , ` ~ ~ ~ I~~Li S Date of Death: `+ ~ 1 ~ ~~ 2- r ;~ Will No. 'J ~ I ` L~ Z" ~ , 13 ~ Admin. No. ~ yd ~ ' ~ / ~ 3C-G To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ~~' ~'3° UZ. Name J ~i ~ ~ c Nonce has now been given to al Date: ~ ~ ~ ~ ~ ~ Address i r~.c, S" Circe y~cl ^ Ll, `tee,/ ~,r/ ~L'~ Li . ~4 . / 70.5 " 5 ~ 3`Il~ ~ ~~at~~ 5t, ~~1~~~1,x f~~: ~S~~y~/ 1 persons entitled thereto under Rule 5.6(a) except Sign~i re Name ~ ; J G /l ~ P ~ I ~ S ~ ~:- Address ~ ~}~~,~ ~~ h (~~ vc ~ E' Telephone (~I Z) ~ ~ ~ ._ ~ 3 ~ '`~~ Capacity: ,~ Personal Representative Counsel for personal representative 1N RE: IN THE COURT OF COMMON PLEAS OF ESTATE OF CARL D. FARNER, :CUMBERLAND COUNTY, PENNSYLVANIA Late of the West Pennsboro Township, :ORPHANS' COURT DIVISION Cumberland County, Pennsylvania, Deceased :Estate No: 21-02-0451 DECREE AWARDING REAL ESTATE AND NOW, this ~~ day of September, 2004 it appearing that the First and Final Account and Statement of Proposed Distribution of Cheryl Farner Donovan, Executrix of the Estate and under the Last Will and Testament of Carl D. Farner, deceased, have been duly filed and advertised according to law and rules of court, and that said Account was duly confirmed and Statement of Proposed Distribution duly approved by this Court on August 26, 2003; and it further appearing that said Executrix has proposed in said Statement of Proposed Distribution to distribute the Decedent's real estate in kind to Cheryl Farner Donovan as residuary beneficiary, under the above mentioned Last Will and Testament; and said Court having decreed distribution in accordance with said Statement of Proposed Distribution on August 26, 2003, IT IS ORDERED, ADJUDGED and DECREED that all right, title and interest of the said CAL D. FARNER, Deceased, in and to the following described real estate is hereby awarded in fee:.simple to CHERYL FARNER DONOVAN: ~,, '- All that certain tract of land situated in the Township of West Pennsboro, County of ~--- ~.~_. ~~ Cumberland -and Commonwealth of Pennsylvania, more particularly bounded and described in ..~._ accordariee-with a survey made by Eric L. Diffenbaugh, Registered Land Surveyor, on July 19, 2004, as follows: Beginning at a P.K. nail in the center of Mount Rock Road (T-325) at line of land now or formerly of John H. Billman; thence along said latter lands the following two (2) courses and distances: (a) South 27 degrees 54 minutes 23 seconds East, a distance of 248.15 feet to an iron pin; and (b) South 33 degrees 57 minutes 52 seconds East, a distance of 13.58 feet to an iron pin; thence continuing along lands now or formerly of John H. Billman and along lands now or formerly of Michael and Krista H. Zeigler, North 79 degrees 42 minutes 31 seconds East, a distance of 149.81 feet to an iron pipe at corner of lands now or formerly of the Church of God of Newville; thence along said latter lands the following two (2) courses and distances: (a) North 80 degrees 12 minutes 17 seconds East, a distance of 66.36 feet to an iron pin; and (b) South 38 degrees 32 minutes 56 seconds East, a distance of 394.91 feet to an iron pipe at corner of lands now or formerly of Joseph S. and Maralee Sr. Rook Estate; thence along said latter lands the following four (4) courses and distances: (a) South 38 degrees 45 minutes 8 seconds East, a distance of 1,018.62 feet to an iron pin; (b) North 69 degrees 23 minutes 42 seconds East, a distance of 414.34 feet to a planted limestone; (c) South 41 degrees 28 minutes 35 seconds East, a distance of 869.09 feet to an iron pin and (d) North 62 degrees 38 minutes 31 seconds East, a distance of 387.27 feet to an iron pin at corner of lands of Big Spring School District; thence along said latter lands, South 40 degrees 24 minutes 29 seconds East, a distance of 911.48 feet to a railroad rail at lands now or formerly of Pennsylvania Power and Light Company; thence along said latter lands the following two (2) courses and distances: (a) South 85 degrees 6 minutes 27 seconds West, a distance of 1,629.03 feet to a railroad rail, and (b) South 85 degrees 1 minute 23 seconds West, a distance of 1,394.13 feet to an iron pipe at corner of lands now or formerly of Big Spring Masonic Temple Association; thence along said latter lands, North 36 degrees 17 minutes 37 seconds West, a distance of 354.36 feet to an iron pin at corner of lands now or formerly of Randy L. Myers and Linda K. Tritt; thence along said latter lands and along lands now or formerly of John L. and Pamela L. Failor, and lands now or formerly of Merle E. (Jr.) and Dorothy M. Mizell, and lands now or formerly of Robert C. and Patsy Lee Line, and lands 2 now or formerly of Jeffrey Line, and lands now or formerly of Todd Line, and lands now or formerly of Pamela Line, North 37 degrees 37 minutes 24 seconds West, a distance of 946.39 feet to an iron pin at lands now or formerly of John T. and Nancy S. Dunsmore, thence along said latter lands the following two (2) courses and distances: (a) North 57 degrees, 8 minutes 28 seconds East, a distance of 920.02 feet to a railroad spike, said spike being in the gravel portion of Laughlin Mill Road (T-406); and (b) North 46 degrees 3 minutes 42 seconds West, (in said Laughlin Mill Road) a distance of 171.20 feet to a railroad spike in said Road, at corner of lands now or formerly of Clinton Frederick Jr. and Nancy M. Beckner; thence along said latter lands the following three (3) courses and distances: (a) North 42 degrees 29 minutes 1 second West (within said Laughlin Mill Road and veering to the west of said Road) a distance of 414.50 feet to an iron pin beyond the west side of said Road; (b) North 27 degrees 16 minutes 10 seconds West, veering back to said Road, a distance of 148.20 feet to a railroad spike set over a buried iron pin in said Road; and (c) South 64 degrees 42 seconds West leaving said Laughlin Mill Road, a distance of 54.40 feet to an iron pin at lands now or formerly of Newville Water Company; thence along said latter lands the following two (2) courses and distances: (a) North 2 degrees 7 minutes 7 seconds West, a distance of 201.24 feet into Laughlin Mill Road to a railroad spike set over a buried iron pin in Laughlin Mill Road; and (b) leaving Laughlin Mill Road, North 35 degrees 15 minutes 17 seconds West, a distance of 79.15 feet to an iron pin at lands now or formerly of Borough of Newville; thence along said latter lands the following three (3) courses and distances: (a) North 67 degrees 46 minutes 4 seconds East, a distance of 33.75 feet to a railroad spike in Laughlin Mill Road; (b) North 17 degrees 13 minutes 56 seconds West in said Laughlin Mill Road, a distance of 44.67 feet to a railroad spike; and (c) North 25 degrees 20 minutes 24 seconds West, still within Laughlin Mill Road, a distance of 42.67 feet to a railroad spike in said Road at corner of lands now or formerly of William I. Lehman; thence along said latter lands, North 70 degrees 23 minutes 47 seconds East, a distance of 235 feet to an iron pin at corner of lands now or formerly of William I. Lehman; thence along said latter lands the following four (4) courses and distances: (a) South 28 degrees 36 minutes 13 seconds East, a distance of 90 feet to an iron pin; (b) North 70 degrees 23 minutes 47 seconds East, a distance of 88 feet to an iron pin; (c) North 28 degrees 57 minutes 58 seconds West, a distance of 93.63 feet to an iron pin and (d) North 65 degrees 23 minutes 47 seconds East, a distance of 94.23 feet to a P.K. nail in Mount Rock Road (T-325); thence in said Mount Rock Road, along lands now or formerly of Frederick L. and Judy J. Allman, North 89 degrees 57 minutes 35 seconds East, a distance of 93.87 feet to a P.K. nail in said Road at lands now or formerly of John H. Billman, the place of BEGINNING. CONTAINING 104.8728 acres of land. BEING the remaining portion of that certain larger premises which Carl Devoe Farner, joined by his wife, Dorothy H. Farner, by their deed dated June 15, 1977, and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania in Deed Book "F", Volume 27, Page 950, granted unto themselves. The said Dorothy H. Farner died on Apri122, 1987, survived by her husband, Carl Devoe Farner, also known as Carl D. Farner (the Decedent from whose Estate this decree originates), in whom title vested absolutely by operation of law as surviving tenant by the entireties. The said Carl D. Farner, also known as Carl Devoe Farner, died on Apri122, 2002, leaving a last will and testament which was duly probated on May 8, 2002 in the Office of the Recorder of Wills in and for Cumberland County, Pennsylvania, in proceedings docketed to Estate No. 21-02-0451, and Letters Testamentary were duly issued to Cheryl Donovan, the Executrix named hereinabove. 4 IT IS FURTHER ORDERED AND DIRECTED that a certified copy of this Decree shall be recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, among the Deeds recorded in said Office, said Decree to be indexed in the Grantor Index for Deeds against the Estate of CARL D,. FARNER, Deceased, and in the Grantee Index for Deeds to CHERYL FARNER DONOVAN, pursuant to Section 3536 of the Decedents, Estates and Fiduciaries Code (20 Pa. C.S. 3536). By the Court, CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: John C. Tasek Date of Death: November 21, 2002 Will No. 21-02-1136 Admin. No. To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on December 3, 2002: Name Address E. Janie Tasek Earl M. Henry John C. Tasek, Jr. Notice has now been given to all Rule 5.6(a) except: None Date: September 10, 2004 Capacity: 8 Wayne Circle Camp Hill, PA 17011 1505 Grand View Avenue Mechanicsburg, PA 17055 3914 Tonto Street Phoenix, AZ 85044 persons entitled thereto under One West Main Street Shiremanstown, PA 17011 (717) 737-8761 Personal Representative X Counsel for Personal Representative EV-I O0 REV-- 1500 OOMMONWB^LTHOPPEN SYLVAN,A INHERITANCE TAX RETURI DEPARTMENT OF REVENUE DEPT. 2 0 0t RESIDENT DECEDENT HARRISBURG, PA 171Z8-0601 ~ DECEDENT'SNAME(LAST, FIRST, ANDMIDDLE~NITIAL) · ~se~ John C. ~ DATE OF DEATH (M M -DD.YEAR) ~ DATE OF BIRTH (MM-DD.YEAR) /2 /2002 J ~ (iF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE ~NITIAL) ~. ~n[e OFFICIAL USE ONLY FILE NUMBER 21-02-[136 COUNTYCODE YEAR NUMBER SOCIAL SECURITY NUMBER 198- 03- 9933 THIS RETURN MUST BE FI LED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER CA P B 4. Limited Estate Future~nterest Compromlse(dateofdeath after HpRL · E P ! O 6. Decedent Died Testate Decedent Maintained a Living Trust cRAC T K (Attach copy of Will) (Attach copy of Trust) KOEs [] 9. LitlgaflonProceedsRecelved ~]15. SpousalPovertyCredJt (date of death between 12-31-91 and 1 - 1-95) 204-03-2368 (date of dea h 3. RemalnderReturn prlorto 2-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes Election to tax under Sec. 9113(A) (Attach Sch O) NAME Jennifer B. Hipp Esquire IRM NAME App,c,b,e) TELEPHONE NUMBER COMPLETE MAILING ADDRESS One West Main Street ShiremanstowIt, PA 17011 T A X R E C A P ! T U L A T I O N C O M T I O N 1. Real ~<tmt~ (Schedule A) Z. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7} 9. Funeral Expenses & Administrative Costs (Schedule H) (5) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule l) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (1) (Z) NoKe' :i (3) No~te None 56,787.69 None None None None 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subiect to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 56,787.69 X .0 0 16. Amount of Line 14 taxable at lineal rate X .0 45 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at coUateral rate X .15 19. Tax Due (8) (11) (12) (13). (14) (15) (16) (17) (18) (19) 56,787.69 0.00 56,787.69 56,787.69 0.00 0.00 0.00 0.00 O. O0 Copyright (c) 2000 form software only T he Lackner Group, l nc, Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: 5T~E~ ~ ADDRESS 8 Wayne Circle CITY J STATE IZlp Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) O. O0 Z. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C, Discount Total Credits ( A + B + C ) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/PenaEy ( D + E ) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0. O0 A. Enter the interest on the tax due, (SA) 0.00 B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (88) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; b. retain the right to designate who shall use the property transferred or its income; ........... c. retain a reversionary interest; or .................................... d. receive the promise for lite of either payments, benefits or care? ................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?. 3. Did decedent own an "in trust for" or ~a"a~-' ..... ~ .L. . or her death? .............................................. [] 4. Did decedent own an Individua~ Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. correct and complete. Declaration of preparer other than the personal representative Is based on alt Information of which p~ ep=~ =r has any knowledge. SIGNATURE PERSO,N RESPO [BLE FOR FILING RETURN $ o ~Ta~_~.e rasek DATE S'GNATUREO PRE"A"EROT.ERT.AN REPRESENTAT,VE ;- ......................... u,v,v~ng spouse m .~'o [/z P.S. 9116 {a) (1.1) (i)]. [ne use or me For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyrig ht (c) ~000 form software only T he Lackner Group, [nc. Form REV- 1880 EX (Rev. 6-00) REV- 1508 EX * (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS,& MISC. PERSONAL PROPERTY FILE NUMBER John C. Tasek SS~/ 198-03-9933 11/21/2002 21-02-1136 Include the.proceeds of litigat on and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. iTEM NUMBER DESCRIPTION 1 AmeriChotce Federal Credit Union - Share savings account TOTAL (Also enter on line 5, RecapituJation) ~ VALUE AT DATE OF DEATH 56,787.69 56,787.69 (If more space is needed, insert additional sheets of the same size) Copyright(c) 1996 form softwareon;y CPSystems, [nc. Form REV-1508 EX (Rev. 1~97) AmeriCho ce ~ FEDERAL CREDIT UNION Build/ng Re/at/onsh/ps For Life August 24, 2004 James D. Bogar Attorney at Law One West Main Stxeet Shiremanstown, PA 17011 RE: Estate of ~ohn C. Tasek Account #34224 SS #I98-03~9933 The account is as follows: Account Type Date Opened DOD Balance Share-Savings-01 06/2002 $ 56,787.69 The account was closed December 23, 2002 for $56,845.71. Please call me at (717)591-1275 if you need fia-ther assistance. Sincerely, Beth M. Yorlets Head Teller Dividend Paid to DOD Ownership $ 243.03 Sole owner Main Office: 2175 Bumble Bee Hollow Road · Mechanicsburg, PA 17055 · Phone: (717) 697-3474 · Fax: t717) 697-3713 1~ ~ Website: www.americhoice.org CR]~)IT UNIONS' REV- 1513 EX * (9-00) COMMONWEALTH OF PENNSYLVANIA IN HERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF John C. Tasek SS~/ 198-03-9933 II. SCHEDULE J BENEFICIARIES 11/21/2002 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [Include outright spousal distributions, and E. Janie Tasek 8 Wayne Circle Camp Hill, PA transfers under Sec. 9116~1.Z)1 17011 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Wife ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS FILE NUMBER 21-02-1136 AMOUNT OR SHARE OF ESTATE Rest, residue and remainder AS APPROPRIATE, ON REV 1500 COVER SHEET TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRJBUTIONS ON LINE 13 OF REV 1500 COVER SHEET 0.00 (If more space is needed, inselt additional sheets of the same size) Copyright (c) Z000 form software only The Lack~ler Group, Inc.Form REV-1513 EX (Rev, 9-00) STATUS REPORT UNDER RULE 6.i2 Name o f Decedent: John C. Tasek Date of Death: will No. November 2 ], 2002 2]-02-1136 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complet=: Yes xx Nc ~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. 0id the personal representative file a final ,account with the Court? Yes No XX O. The separate Orohans' Court No. (if an?,) for the personal representative's account is: Oate: c~/i0,/n,4~ 0/3 c. Did the personal representative state an account informally to the parties in interest? Yes 154 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this reoort Signalere Jennifer B. Hipp, Esquire Name (Please ty~e or print~ One West Main ~. on_~mans~own, PA 17'3!! Address /717) 737-$76L Tel. No. Capacity: __Personal Representative ( MAH: rmf/A~M3 ) x __Counsel for personal representati %\~- ~.%~. BUREAU OF TNDTVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COHHONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOT/CE OF INHERITANCE TAX APPRAISEHENT, ALLONANCE OR DISALLOgANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-I$,~7 EX AFP cD1-05) JENNIFER 8 HIPP ESQ I N MAIN ST SHIREMANSTONN PA 17LQ1.1 DATE 11-08-200q ESTATE OF TASEK DATE OF DEATH 11-21-2002 FILE NUMBER 21 02-1156 COUNTY CUMBERLAND ACN 101 I Amount Remitted JOHN C HAKE CHECK PAYABLE AND REHZT PAYMENT TO: REGISTER OF NILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~'- RETAIN LONER PORTION FOR YOUR RECORDS ~-~ ~-: i ~- - ~- -i ~- - [ ~=-~ ~5- -~ 6~-~ E ~p - ~ ~-~ ~N-~ - ~i- ~ i~-~ ~k~ ¥~- -i ~N~i - ~ ................. DZSALLONANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF TASEK JOHN CFILE NO. 21 02-1136 ACN 101 DATE 11-08-200q TAX RETURN gAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) q. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Daposits/Hisc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Funeral Expansas/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule Z) (10) 11. 12. 15. NOTE: .00 .00 .00 .00 56~,787.69 .00 .00 (8) .00 .00 Total Deductions (11) Nat Value of Tax Return (12) Charitable/Governmental Bequests; Non-eXacted 9113 Trusts (Schedule J) (15) Net Value of Estate Subject to Tax If an assess.ent ~as 1ssued previously, lines 14, 15 and/or 16, reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amouni: of Line lq st Spousal ra~e 16. Aeount of Line lq taxable at Lineal/Class A rats 17. Aaount of Line lq at Sibling rats 18. Aeount of Line lq taxable at Collateral/Class B rate 19. Princi ~al Tax Due TAX CREDITS PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN pAID (-) NOTE: To insuFe proper credit to your account, subeit the upper portion of ~his fore with ~our tax payment. 56,787.69 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ,00 56,787.69 17, 18 and 19 Nill (is) 56,787.69 x O0 = (16) .00 X Oq5 = (17) .00 x 12 = (18) .00 x 15 = (19)= .00 56,787.69 .0O .00 AMOUNT PAID .00 .00 .00 TOTAL TAX CREDIT .00 BALANCE OF TAX DUEI .00 INTEREST AND PEN. .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE~-~ A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)